Lung nodules: Can they ever be non-cancerous?

Posted by missholly @missholly, Jul 21, 2024

I had RSV pneumonia in Nov. Recovered well. On Tuesday I went to ER for an ear infection. They did a chest x-ray then decided to do a CT scan. The results have me terrified. I have no SOB, no symptoms what-so-ever. The CT scan says suggestive of multifocal pneumonia, cannot rule out malignancy. What scares me is the irregulary-shaped nodules. Can they ever be non-cancerous? I have an appt with a pulminary dr. on March 6th, but in the meantime, I am driving myself crazy.

There are multiple bilateral irregularly-shaped lung nodules. Several lung nodules demonstrate central cavitary changes. Example nodule within the medial superior segment of the right lower lobe measures 3.1 x 2.6 cm with central cavitation. Additional 4 x 2.6 cm irregularly-shaped nodule is present within the anterior left upper lobe. This lesion is without cavitary changes. No pleural effusions. No pneumothorax. Heart size is normal. No pericardial effusion. There are shotty mediastinal and bilateral hilar lymph nodes, likely reactive. Liver density is decreased. There are bilateral simple appearing renal cysts.

Any input - good or bad - would be appreciated.

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Profile picture for Colleen Young, Connect Director @colleenyoung

Hi @missholly, I merged your 2 discussions into one and expanded the title of your question. It is so frightening to hear the words "lung nodules". Like others have said, they are very common and most lung nodules aren't cancerous. See this article from Mayo experts:

- Lung nodules: Can they be cancerous? https://www.mayoclinic.org/diseases-conditions/lung-cancer/expert-answers/lung-nodules/faq-20058445

Of course, you're worried. I would be too. But the good news is that they were found and are being investigated. Your team cares. I look forward to getting your update after the upcoming appointment.

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Thank you!

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Profile picture for Colleen Young, Connect Director @colleenyoung

Hi @missholly, I merged your 2 discussions into one and expanded the title of your question. It is so frightening to hear the words "lung nodules". Like others have said, they are very common and most lung nodules aren't cancerous. See this article from Mayo experts:

- Lung nodules: Can they be cancerous? https://www.mayoclinic.org/diseases-conditions/lung-cancer/expert-answers/lung-nodules/faq-20058445

Of course, you're worried. I would be too. But the good news is that they were found and are being investigated. Your team cares. I look forward to getting your update after the upcoming appointment.

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What worries me most is the irregular shape and the size of the nodule in the upper left lobe. From what I've read, irregular shape ones are usually cancer.

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Bran a has done my several broncoscopies. I like him. I see his younger partner Jared Kravitz who is very good. I amtreat3d at UT infectious disease which I do not recommend but I’ve been consulted with Mayo ID and plan to go up to Mayo in the late Fall if myMAC is still present.

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Profile picture for ncalvan @ncalvan

Bran a has done my several broncoscopies. I like him. I see his younger partner Jared Kravitz who is very good. I amtreat3d at UT infectious disease which I do not recommend but I’ve been consulted with Mayo ID and plan to go up to Mayo in the late Fall if myMAC is still present.

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@ncalvan, kind of you to offer to talk offline. please note that your phone number has been removed. It is recommended to use the secure private message function and not post personal contact information on the public forum.

I'd also like to point out the benefit of sharing here in the support group where you will receive support and information from several people and we can all learn from each other.

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My husband had a pet scan that showed 8mm Nodule He had an appointment today(1/7/26 to go over report that said suspisious for malignancy. The dr office called yesterday and said they had to cancel his appointment until 2/24/26. We are upset that this appt is almost 6 weeks away and we have to continue to worry about the results. Any advice would be appreciated.

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Profile picture for louiset65 @louiset65

My husband had a pet scan that showed 8mm Nodule He had an appointment today(1/7/26 to go over report that said suspisious for malignancy. The dr office called yesterday and said they had to cancel his appointment until 2/24/26. We are upset that this appt is almost 6 weeks away and we have to continue to worry about the results. Any advice would be appreciated.

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@louiset65, I'm sure you hoped to find answers today, so this has to be hard on both of you.
Generally speaking, many providers want to monitor the nodules until one is at least 1 cm. It's difficult to biopsy small nodules, and no one wants an inconclusive result after putting the patient through the bronchoscopy procedure. I saw in another post that one of your husband's nodules is close to that 1 cm size, but a bit smaller. It wouldn't be unusual for a provider to recommend another follow up scan in 3-6 months at this size. The scan shows something of concern, without a biopsy and pathology, we don't really know what the nodules are made up of. Don't forget that they could be many things other than cancer, such as inflammation, infection, fungus. It's hard to know, as our lungs are sensitive and can be impacted by many factors.

Does his provider offer a wait list, where you may be able to get an earlier appointment if an appointment unexpectedly opens up? Are there other providers in the same practice that may be able to see him sooner?

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Profile picture for Lisa, Volunteer Mentor @lls8000

@louiset65, I'm sure you hoped to find answers today, so this has to be hard on both of you.
Generally speaking, many providers want to monitor the nodules until one is at least 1 cm. It's difficult to biopsy small nodules, and no one wants an inconclusive result after putting the patient through the bronchoscopy procedure. I saw in another post that one of your husband's nodules is close to that 1 cm size, but a bit smaller. It wouldn't be unusual for a provider to recommend another follow up scan in 3-6 months at this size. The scan shows something of concern, without a biopsy and pathology, we don't really know what the nodules are made up of. Don't forget that they could be many things other than cancer, such as inflammation, infection, fungus. It's hard to know, as our lungs are sensitive and can be impacted by many factors.

Does his provider offer a wait list, where you may be able to get an earlier appointment if an appointment unexpectedly opens up? Are there other providers in the same practice that may be able to see him sooner?

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@lls8000 Yes we asked if something opened up to call us. He asked if he could see an assistant to at least know a little more. Thank You for your advise

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Profile picture for Lisa, Volunteer Mentor @lls8000

@louiset65, I'm sure you hoped to find answers today, so this has to be hard on both of you.
Generally speaking, many providers want to monitor the nodules until one is at least 1 cm. It's difficult to biopsy small nodules, and no one wants an inconclusive result after putting the patient through the bronchoscopy procedure. I saw in another post that one of your husband's nodules is close to that 1 cm size, but a bit smaller. It wouldn't be unusual for a provider to recommend another follow up scan in 3-6 months at this size. The scan shows something of concern, without a biopsy and pathology, we don't really know what the nodules are made up of. Don't forget that they could be many things other than cancer, such as inflammation, infection, fungus. It's hard to know, as our lungs are sensitive and can be impacted by many factors.

Does his provider offer a wait list, where you may be able to get an earlier appointment if an appointment unexpectedly opens up? Are there other providers in the same practice that may be able to see him sooner?

Jump to this post

@lls8000 @louise65 My husband had a lung nodule that he worried about. He had already had melanoma on his hand that was removed, and he is high risk for a cancer reoccurrence, but so far, we have been good with all his scans. The nodule actually disappeared on later imaging. He was worried about waiting, but it is the right thing to do when the doctor says wait because they need to know if it changes and how. Maybe that doesn't help your worries, but we've been there too.

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Profile picture for Jennifer, Volunteer Mentor @jenniferhunter

@lls8000 @louise65 My husband had a lung nodule that he worried about. He had already had melanoma on his hand that was removed, and he is high risk for a cancer reoccurrence, but so far, we have been good with all his scans. The nodule actually disappeared on later imaging. He was worried about waiting, but it is the right thing to do when the doctor says wait because they need to know if it changes and how. Maybe that doesn't help your worries, but we've been there too.

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@jenniferhunter I've had multiple small lung nodules for 3 to 4 years now. Never large enough to biopsy. Some have disappeared, some stay the same. Largest is like 5 mm I think, maybe 6 mm. I see my pulmonary doctor every year, following a CT scan which we review together in his office. I've had doctors claim I got them because of breathing Los Angeles air or otherwise breathing in highway tire road dust. I'm counting on them not being cancerous. That some have disappeared is a good sign. I love getting the checkups. My ex-wife just died of stage 4 metastatic pulmonary cancer, never a smoker, fought the chemo battle for 2 years, never operated. Her clinical trial obviously failed. Very sorry for her. She was 78 years old. I'm 78 also.

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My husband saw Dr Assistant yesterday. They want him to have a Biopsy ( Navigational Bronchoscopy) They want to be agressive. So now he has to make an appointment to have it done.No one mentioned cancer at this point. This is where we are at.

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